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Understanding The Common Cold

Most people assume the common cold is a virus that attacks the respiratory system. But that’s not the whole story.

The common cold is not a particular virus, but a syndrome (defined as a specific set of symptoms) that occurs when your immune system reacts to the presence of foreign invaders. Over 200 different viruses can cause the set of symptoms that are collectively known as the common cold, including congestion, cough, runny nose, watery eyes, sinus pressure and more. It’s important to understand these symptoms are not the doing of the virus itself but part of the body’s reaction to it.

When your immune system identifies a foreign presence it thinks might be harmful, particular cells release messages to other cells that it’s time to deploy their defenses. Increased blood flow rushes to the site of concern carrying important defense cells that then release molecules to fight the infection. This attack can result in nasal and sinus inflammation, a major cause of congestion.

Even after the virus has run its course, it takes some time for things to return to normal.

The congestion can cause the miserable pressure people feel throughout their face during a cold. Even after the virus has run its course, it takes some time for things to return to normal. In this sense, a person’s cold ‘goes away’ only when their body stops fighting, which may be some time after the virus has already been eliminated - though some symptoms caused by inflammation may linger even longer.

It’s Okay to Treat the Symptoms of the Cold

But is this reaction always necessary? In a word: no. Over thousands of years, the human body has evolved to react to outside intrusion, whether from germs or environmental factors. In the distant past, the human immune system was much busier with foreign attacks from bacteria, viruses and parasites. The lower need for immune reaction to a foreign presence has left us with what some doctors term an ‘overactive’ immune system that treats many foreign bodies as potentially harmful even if they are not.

For some people, cats can cause extreme allergic reactions, while others remain entirely unaffected. Cat dander itself is not physically threatening to anybody, but the immune system of those with cat allergies is hard-wired to respond as if it is. Consequently, the immune system overreacts to the presence of cat dander in ways that those without cat allergies’ immune systems do not. The same logic holds for many of the viruses that cause common cold syndrome: they are not themselves especially dangerous - the body just treats them as if they are. Hence, it’s okay to treat the symptoms of the common cold using cough and cold medicines. They will not affect the body’s ability to defend itself.